SUNBRIDGE HEALTHCARE LLC
Alzheimer Center
Avondale, Arizona
Provider NPI: 1396786919
Organization Information:Organization Name: SUNBRIDGE HEALTHCARE LLC
Practice Location:
350 EAST LACANADA AVONDALE, AZ 85323 US
Tel: 623-932-2282 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
350 EAST LACANADA AVONDALE, AZ 85323 US
Tel: 623-932-2282 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 311500000X | Nursing & Custodial Care Facilities Alzheimer Center (Dementia Center) | AZ | NCI378 |
Y | 314000000X | Nursing & Custodial Care Facilities Skilled Nursing Facility | AZ | NCI378 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
ARIZONA-LIFEMARK | AHCCCS ID #:340547 | AZ | 01 |
340547 | AZ | 05 | |
ARIZONA-MERCY CARE | AHCCCS ID #:340547 | AZ | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin